Rotator cuff tendonitis in lymphedema: A retrospective case series
Identifieur interne : 000351 ( PascalFrancis/Curation ); précédent : 000350; suivant : 000352Rotator cuff tendonitis in lymphedema: A retrospective case series
Auteurs : Joseph E. Herrera [États-Unis] ; Michael D. Stubblefield [États-Unis]Source :
- Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2004.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Université, Homme, Historique.
English descriptors
- KwdEn :
Abstract
Objectives: To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options. Design: Retrospective review of 8 cases. Setting: University hospital outpatient clinic. Participants: A total of 8 breast cancer patients with a history of lymphedema and ipsilateral shoulder pain. Intervention: Patients with lymphedema and ipsilateral shoulder pain were diagnosed with rotator cuff tendonitis if all of the following 3 tests were positive: supraspinatus test, Neer's impingement test, and Hawkin's impingement test. Patients diagnosed with rotator cuff tendonitis were prescribed a nonsteriodal anti-inflammatory drug (NSAID) and physical therapy (PT). Main Outcome Measures: Improvement in symptoms of shoulder pain at a 4- to 6-week follow-up, as measured by visual analog scale (VAS). Results: Seven of 8 patients reported a subjective decrease in their symptoms of shoulder pain at a 4- to 6-week follow-up. The average improvement in shoulder pain as measured by VAS was a 4.5-point decrease from the original pain score given. One of 8 patients had a full-thickness supraspinatus tendon tear and required additional decongestive therapy and PT to obtain relief of symptoms. Conclusions: Rotator cuff tendonitis is a complication of lymphedema caused by internal derangement of tendon fibers, which may be subject to impingement, functional overload, and intrinsic tendinopathy. Conservative treatment with NSAIDs and PT is a safe and effective treatment.
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<front><div type="abstract" xml:lang="en">Objectives: To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options. Design: Retrospective review of 8 cases. Setting: University hospital outpatient clinic. Participants: A total of 8 breast cancer patients with a history of lymphedema and ipsilateral shoulder pain. Intervention: Patients with lymphedema and ipsilateral shoulder pain were diagnosed with rotator cuff tendonitis if all of the following 3 tests were positive: supraspinatus test, Neer's impingement test, and Hawkin's impingement test. Patients diagnosed with rotator cuff tendonitis were prescribed a nonsteriodal anti-inflammatory drug (NSAID) and physical therapy (PT). Main Outcome Measures: Improvement in symptoms of shoulder pain at a 4- to 6-week follow-up, as measured by visual analog scale (VAS). Results: Seven of 8 patients reported a subjective decrease in their symptoms of shoulder pain at a 4- to 6-week follow-up. The average improvement in shoulder pain as measured by VAS was a 4.5-point decrease from the original pain score given. One of 8 patients had a full-thickness supraspinatus tendon tear and required additional decongestive therapy and PT to obtain relief of symptoms. Conclusions: Rotator cuff tendonitis is a complication of lymphedema caused by internal derangement of tendon fibers, which may be subject to impingement, functional overload, and intrinsic tendinopathy. Conservative treatment with NSAIDs and PT is a safe and effective treatment.</div>
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